| NPI | 1548878218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000090-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO CSW.9930845) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.9930845) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-11-01 |